Anaphysio ch 15 respiratory93

37
The Respiratory System

Transcript of Anaphysio ch 15 respiratory93

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The Respiratory System

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The Respiratory System• Basic functions of the respiratory system

• Breathing (Pulmonary Ventilation) – movement of air in and out of the lungs• Inhalation (inspiration) draws gases into the lungs.• Exhalation (expiration) forces gases out of the lungs.

• Gas Conditioning – as gases pass through the nasal cavity and paransal sinuses, inhaled air becomes turbulent. The gases in the air are

• warmed to body temperature• humidified• cleaned of particulate matter

• Gas Exchange - respiration• Supplies body with oxygen• Disposes of carbon dioxide

• Produces Sounds

• Protects respiratory surfaces

• Site for olfactory sensation

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Respiration

• Respiration – four distinct processes must happen• Pulmonary ventilation – moving air into and out of

the lungs

• External respiration – gas exchange between the lungs and the blood

• Transport – transport of oxygen and carbon dioxide between the lungs and tissues

• Internal respiration – gas exchange between systemic blood vessels and tissues

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Functional Anatomy of the Respiratory System

• Respiratory organs• Nose, nasal cavity, and paranasal sinuses

• Pharynx, larynx, and trachea

• Bronchi and smaller branches

• Lungs and alveoli

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Organs of the Respiratory System

Figure 21.1

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Respiratory System

• Consists of• Respiratory muscles – diaphragm and

other muscles that promote ventilation• Respiratory zone – site of external

respiration – respiratory bronchioles, alveolar ducts, alveolar sacs, and alveoli.

• Conducting zones• Provides rigid conduits for air to

reach the sites of gas exchange• Includes nose, nasal cavity,

pharynx, trachea• Air passages undergo 23 orders of

branching in the lungs

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The Nose• Provides an airway for

respiration

• Moistens and warms air

• Filters inhaled air

• Resonating chamber for speech

• Houses olfactory receptors

• Skin is thin – contains many sebaceous glands

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The Nasal Cavity

• External nares – nostrils• Divided by – nasal septum• Vestibule - anterior opening • Continuous with nasopharynx• Two types of mucous membrane

• Olfactory mucosa - Near roof of nasal cavity, houses olfactory (smell) receptors

• Respiratory mucosa - Lines nasal cavity

• Epithelium is pseudostratified ciliated columnar

• Goblet cells within epithelium • Underlying layer of lamina propria

has glands that contribute to the mucus layer and blood vessels that warm the air.

• Cilia move contaminated mucus posteriorly

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Nasal Cavity

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Nasal Conchae

• 3 paired bony projections along the lateral walls of the nasal cavity

• Superior and middle nasal conchae - part of the ethmoid bone

• Inferior nasal conchae - separate bone

• Function - Particulate matter deflected to mucus-coated surfaces

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The Paranasal Sinuses

Figure 7.11a, b

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The Pharynx• Funnel-shaped passageway• Connects nasal cavity and

mouth• Shared by the digestive and

respiratory systems• Divided into three sections by

location• Nasopharynx – superior

portion, • Oropharynx – continuous

with the oral cavity• Laryngopharynx – between

the hyoid bone and the esophagus

• Type of mucosal lining changes along its length

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The Nasopharynx

• Superior to the point where food enters

• Only an air passageway

• Closed off during swallowing

• Epithelium consists of ciliated pseudostratified epithelium that moves mucus

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The Oropharynx

• Arch-like entranceway – fauces• Extends from soft palate to

the epiglottis• Epithelium - stratified

squamous epithelium• Two types of tonsils in the

oropharynx• Palatine tonsils – in the

lateral walls of the fauces • Lingual tonsils – covers

the posterior surface of the tongue

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The Laryngopharynx

• Passageway for both food and air

• Epithelium - stratified squamous epithelium

• Continuous with the esophagus and larynx

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The Larynx• Prevent food and drink from entering the trachea

• Passageway for air

• Produces Sound

• It connects the pharynx to the trachea

• Epithelium of the larynx

• Stratified squamous – superior portion

• Pseudostratified ciliated columnar – inferior portion

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Nine Cartilages of the Larynx

• Thyroid cartilage - shield-shaped, forms laryngeal prominence (Adam’s apple)

• Three pairs of small cartilages

• Arytenoid cartilages

• Corniculate cartilages

• Cuneiform cartilages

• Epiglottis - tips inferiorly during swallowing

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The Larynx

• Vocal ligaments of the larynx• Vocal folds (true vocal

cords) - act in sound production

• Vestibular folds (false vocal cords) - no role in sound production

• Voice production • Length of the vocal folds

changes with pitch• Loudness depends on the

force of air across the vocal folds

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The Trachea• Descends into the mediastinum

• C-shaped cartilage rings keep airway open

• Carina - marks where trachea divides into two primary bronchi

• Epithelium - pseudostratified ciliated columnar

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The Trachea

Figure 21.7a, b

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Bronchi in the Conducting Zone• Bronchial tree - extensively

branching respiratory passageways• Primary bronchi (main

bronchi)• Largest bronchi • Right main bronchi - wider

and shorter than the left• Secondary (lobar) bronchi

• Three on the right • Two on the left

• Tertiary (segmental) bronchi - branch into each lung segment

• Bronchioles - little bronchi, less than 1 mm in diameter

• Terminal bronchioles - less than 0.5 mm in diameter

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Tissue Composition of Conducting Zone

• Changes along pathway• Supportive connective tissues change

• C-shaped rings – trachea, primary bronchi• Replaced by cartilage plates, secondary & tertiary bronchi

• Epithelium changes• First, pseudostratified ciliated columnar – trachea• Replaced by simple columnar - bronchi• Then simple cuboidal epithelium - bronchioles and

terminal bronchioles • Smooth muscle becomes important at the bronchioles -

controlled by the ANS (bronchoconstriction and bronchodilation).

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Lobes and Surfaces of the lungs• Right lung has three lobes

• Left lung has two lobes

• Concavity on medial surface = cardiac notch

• Bronchi enter the lungs at the hilus

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The Pleurae• A double-layered sac surrounding each lung

• Parietal pleura• Visceral pleura

• Pleural cavity - potential space between the visceral and parietal pleurae• Pleurae help divide the thoracic cavity

• Central mediastinum • Two lateral pleural compartments

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Structures of the Respiratory Zone

• Consists of air-exchanging structures

• Respiratory bronchioles – branch from terminal bronchioles• Lead to alveolar ducts

• Lead to alveolar sacs

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Structures of the Respiratory Zone

Figure 21.9b

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Features Of Alveoli

Figure 21.10b

• Alveoli cell types• Type I cells site of gas exchangeand• Type II cells - secrete surfactant• Macrophages

• Surrounded by basal laminae and elastic fibers• Interconnect by way of alveolar pores• Internal surfaces - site for free movement of alveolar macrophages

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RESPIRATORY SYSTEMDISORDERS

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Disorders of the Respiratory System

• Anthrax• Caused by spores of the bacterium

• Asthma attack• May result from exposure to an allergen,

cold temperature, exercise, or emotion

• Atelectasis• A collapse of part or all of a lung, caused by

a tumor in the thoracic cavity, pneumonia, or injury

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Disorders of the Respiratory System (continued)

• Bronchitis• An infection of the bronchi

• Carbon monoxide poisoning• Occurs from breathing carbon monoxide

• Chronic obstructive pulmonary disease • A group of chronic respiratory disorders

including asthma, chronic bronchitis, and pulmonary emphysema

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Disorders of the Respiratory System (continued)

• Cold • A respiratory infection

• Cystic fibrosis • A genetic disorder of the exocrine glands

• Emphysema • The alveoli lose elasticity and become

dilated and do not exchange gases well

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Disorders of the Respiratory System (continued)

• Hantavirus • A respiratory condition spread by breathing

in materials contaminated by urine or saliva of infected rodents such as deer mice and chipmunks

• Hay fever • A respiratory inflammation caused by

allergens such as plants, dust, and food

• Lung cancer • Directly linked to smoking and smoke

products

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Disorders of the Respiratory System (continued)

• Pleural effusion • A condition in which air or fluid enters the

pleural cavity

• Pleurisy• An inflammation of the membranes that line

the lungs

• Pneumonia • An inflammation of the lungs, in which a

buildup of excessive moisture impairs breathing

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Disorders of the Respiratory System (continued)

• Pneumoconiosis • An inflammation in the lungs caused by

inhaled irritants

• Respiratory acidosis• A buildup of carbon dioxide in the blood,

causing a lowered blood pH

• Respiratory alkalosis • A deficiency of carbon dioxide in the blood

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Disorders of the Respiratory System (continued)

• Respiratory distress syndrome

• A condition that occurs when the alveoli do not inflate properly

• Sinusitis • An inflammation of one or more of the

paranasal sinuses • Sudden infant death syndrome (SIDS)

• A respiratory disorder of newborns

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Disorders of the Respiratory System (continued)

• Tuberculosis • Caused by bacteria that are difficult to

destroy, and it can be transmitted through the air

• Upper respiratory infection• Caused by a virus or bacteria in the nose,

pharynx, or larynx

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